ABSTRACT

The achievement of coverage visit-4 as the one of two indicators for

succes antenatal care services in Indonesia still having disparities between many
region, also in Surabaya. Therefore, this study aims to provide recommendations
for the quality improvement of antenatal care services through the Juran Trilogy
approach with benchmarking analysis on selected Puskesmas that having low
percentation in their achievement of coverage visit-4.
This study uses qualitative research method with respondent comprising of
total health workers in Poli KIA and informant comprising of chief responsible
Poli KIA and the Headmaster at each Puskesmas. Data obtained through the
questionnaire and interview method using an interview guide. Location of the
study include Puskesmas Wiyung which will be compared with Puskesmas
Manukan Kulon as a representative of Puskesmas PONED or Inpatient Maternity
group. Then, the location is Puskesmas Balas Klumprik which will be compared
with Puskesmas Peneleh as a representative of Puskesmas without PONED and
without Inpatient Maternity group.
Based on the data obtained, the implementation of quality planning, there
are 2 indicators of Puskesmas Wiyung and 8 indicators of Puskesmas Balas
Klumprik need to be improved. In the implementation of quality control, the
results showed that there are 3 indicators on Puskesmas Wiyung and 11 indicators
on Balas Klumprik need to be improved. And for the quality improvement, there

is 1 indicator on Puskesmas Wiyung and 9 indicators on Puskesmas Balas

Klumprik need to be improved.
It can be concluded that the implementation of quality planning in the four
Puskesmas is good. For the implementation of quality control and quality
improvement in Puskesmas Wiyung, Puskesmas Manukan Kulon and Puskesmas
Peneleh mostly been good. But in Puskesmas Balas Klumprik, mostly executed
well enough. Thus, it can be suggested that Puskesmas Wiyung 6 indicators and
28 indicators of total 60 indicators in PHC Reply Klumprik implementation needs
to be improved.

Keywords: Antenatal Care, Quality Control, Quality Improvement, Quality

Planning,

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